Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $68.19 / $69.50	Facility		$66.88	$68.19	$69.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $69.50 / $101.52	Professional		$61.72	$69.50	$101.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $71.28 / $89.18	Professional		$71.28	$71.28	$89.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $149.77 / $149.77	Facility		$149.77	$149.77	$149.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $75.81	Professional		$55.35	$55.35	$75.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $252.55 / $608.40 / $734.30	Facility		$252.55	$608.40	$734.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $798.48 / $817.65 / $963.45	Professional		$798.48	$817.65	$963.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $101.27 / $149.77	Facility		$37.34	$101.27	$149.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $126.67 / $149.77	Professional		$37.34	$126.67	$149.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.77 / $160.41 / $573.62	Professional		$149.77	$160.41	$573.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $100.08 / $149.77	Facility		$37.34	$100.08	$149.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $78.09	Professional		$55.35	$55.35	$78.09
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $69.70 / $82.98	Professional		$48.20	$69.70	$82.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $70.61 / $149.77	Professional		$69.45	$70.61	$149.77